Evaluation of the current radiofrequency ablation systems using axiomatic design theory

被引:8
作者
Zhang, Bing [1 ,2 ]
Moser, Michael A. J. [3 ]
Luo, Yigang [3 ]
Zhang, Edwin M. [4 ]
Zhang, Wenjun [1 ,2 ,5 ]
机构
[1] E China Univ Sci & Technol, Sch Mech & Power Engn, Complex & Intelligent Syst Ctr, Shanghai 200237, Peoples R China
[2] Univ Saskatchewan, Div Biomed Engn, Saskatoon, SK S7N 5A9, Canada
[3] Univ Saskatchewan, Dept Surg, Saskatoon, SK S7N 5A9, Canada
[4] Univ Alberta, Dept Radiol & Diagnost Imaging, Edmonton, AB, Canada
[5] Univ Saskatchewan, Dept Mech Engn, Saskatoon, SK S7N 5A9, Canada
关键词
Radiofrequency ablation; complete tissue necrosis; evaluation; axiomatic design theory; HEPATOCELLULAR-CARCINOMA; THERMAL ABLATION; HEPATIC-TUMORS; LIVER; OPTIMIZATION; COAGULATION; OCCLUSION; NEEDLE;
D O I
10.1177/0954411914530104
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
This article evaluates current radiofrequency ablation systems using axiomatic design theory. Due to its minimally invasive procedure, short-time hospital stay, low cost, and tumour metastasis treatment, the radiofrequency ablation technique has been playing an important role in tumour treatment in recent decades. Although the radiofrequency ablation technique has many advantages, some issues still need to be addressed. Among these issues, the two most important are as follows: (1) the size of tumours to be removed (has to be larger than 3 cm in diameter) and (2) cleanness of the removal. Many device solutions have been proposed to address the two issues. However, there is a lack of knowledge regarding the systematic evaluation of these solutions. This article evaluates these systems in terms of their solution principles (or simply called conceptual design in general product design theory) using a design theory called axiomatic design theory. In addition, with the axiomatic design theory, a better conceptual design in terms of its feasibility to cope with incomplete target tissue necrosis from the large size of tumours has been found. The detailed analysis and simulation of the new conceptual design are conducted using finite element approach. The results in this article are proved by the information of animal experiments and clinical practices obtained from the literature. This study thus contributes to the current knowledge to further developments in radiofrequency ablation systems and procedure guidelines for physicians to perform the radiofrequency ablation operation more effectively.
引用
收藏
页码:397 / 408
页数:12
相关论文
共 36 条
[1]   Radiofrequency ablation of unresectable liver tumors: factors associated with incomplete ablation or local recurrence [J].
Ayav, Ahmet ;
Germain, Adeline ;
Marchal, Frederic ;
Tierris, Ioannis ;
Laurent, Valerie ;
Bazin, Christophe ;
Yuan, Yufeng ;
Robert, Laurence ;
Brunaud, Laurent ;
Bresler, Laurent .
AMERICAN JOURNAL OF SURGERY, 2010, 200 (04) :435-439
[2]   Bipolar radiofrequency ablation of liver tumors: Technical experience and interval follow-up in 22 patients with 33 ablations [J].
Baldwin, Keith ;
Katz, Steven C. ;
Rubin, Abigail ;
Somasundar, Ponnandai .
JOURNAL OF SURGICAL ONCOLOGY, 2012, 106 (07) :905-910
[3]   Theoretical modeling for radiofrequency ablation: state-of-the-art and challenges for the future [J].
Berjano, Enrique J. .
BIOMEDICAL ENGINEERING ONLINE, 2006, 5 (1)
[4]   Radiofrequency ablation of the porcine liver with complete hepatic vascular occlusion [J].
Chang, CK ;
Hendy, MP ;
Smith, JM ;
Recht, MH ;
Welling, RE .
ANNALS OF SURGICAL ONCOLOGY, 2002, 9 (06) :594-598
[5]   Effect of vascular occlusion on radiofrequency ablation of the liver: Results in a porcine model [J].
Chinn, SB ;
Lee, FT ;
Kennedy, GD ;
Chinn, C ;
Johnson, CD ;
Winter, TC ;
Warner, TF ;
Mahvi, DM .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (03) :789-795
[6]   Percutaneous radiofrequency ablation of hepatic tumors during temporary venous occlusion [J].
de Baere, T ;
Bessoud, B ;
Dromainm, C ;
Ducreux, M ;
Boige, V ;
Lassau, N ;
Smayra, T ;
Girish, BV ;
Roche, A ;
Elias, D .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (01) :53-59
[7]   Thermal-electric finite element analysis and experimental validation of bipolar electrosurgical cautery [J].
Dodde, Robert E. ;
Miller, Scott F. ;
Geiger, James D. ;
Shih, Albert J. .
JOURNAL OF MANUFACTURING SCIENCE AND ENGINEERING-TRANSACTIONS OF THE ASME, 2008, 130 (02) :0210151-0210158
[8]   A CYLINDRICAL-SECTION ULTRASOUND PHASED-ARRAY APPLICATOR FOR HYPERTHERMIA CANCER-THERAPY [J].
EBBINI, ES ;
UMEMURA, S ;
IBBINI, M ;
CAIN, CA .
IEEE TRANSACTIONS ON ULTRASONICS FERROELECTRICS AND FREQUENCY CONTROL, 1988, 35 (05) :561-572
[9]  
Fan L, INT J ADV M IN PRESS
[10]   Tumor ablation with radio-frequency energy [J].
Gazelle, GS ;
Goldberg, SN ;
Solbiati, L ;
Livraghi, T .
RADIOLOGY, 2000, 217 (03) :633-646